【摘要】 目的运用经颅多普勒超声检查(简称TCD)观察椎针疗法对椎动脉型颈椎病椎—基底动脉血流的影响。方法将150例椎动脉型颈椎病患者随机分成椎针组(100例)和针刺组(50例),治疗10次为1个疗程,运用TCD观察两种疗法疗程前后椎动脉(VA)—基底动脉(VBA)收缩峰血流速度(Vp)、舒张末血流速度(Vd)及其平均血流速度(Vm)的变化、并进行组间比较。结果治疗后两组左椎动脉(LVA)、右椎动脉(RVA)及VBA的Vp、Vd、Vm均有下降,与治疗前比较,差异均有显著性(P<0.05,P<0.01),但针刺组VBA中Vp差异无显著性(P>0.05),两组治疗后比较,LVA中Vp、Vm,RVA中Vp、Vd、Vm及VBA中Vp、Vm差异均有显著性(P<0.05,P<0.01)。结论椎针疗法治疗椎动脉型颈椎病疗效优于针刺疗法,能显著改善椎—基底动脉血流。更多还原

【Abstract】 ObjectiveTo observe the effect of vertebral manipulation (VM) therapy on vertebro-basilar artery (VBA) blood flow in patients with cervical spondylosis of vertebral artery type (CS-VAT) by transcranial Doppler (TCD) ultrasonic examination. MethodsOne hundred and fifty patients with CS-VAT were randomized into the VM group (n=100) and the acupuncture group (n=50), and treated for ten times as one therapeutic course. Changes of the contraction peak, the end-diastolic and average blood flow velocity of VBA before and after treatment in the two groups were observed and compared by TCD. ResultsVp, Vd, Vm of LVA, RVA and BA in the two groups after treatment were all lowered, showing significant difference, excepting Vp of VBA in the acupuncture group, when compared with before treatment (<0.05 or <0.01). Comparison between the two groups after treatment showed significant difference in Vp and Vm of LVA, Vp, Vd and Vm of RVA, Vp and Vm of VBA respectively (<0.05,<0.01). ConclusionVM therapy in treating patients with CS-VAT shows therapeutic effect superior to VA therapy, which could significantly improve VBA blood flow.更多还原